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Licensing details for: 12951

Name: TANG, MAI NGOC

License Type: Statement of Licensure

Primary Status: Current Primary Status Definition

Previous Names: TANG, MAI N TANG, MAI

Address of Record

12300 Seal Beach Blvd
SEAL BEACH CA 90740-2709
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Issuance Date

January 25, 2019

Expiration Date

March 31, 2027

Current Date / Time

April 3, 2026
9:29:40 PM

License Relationships

Statement of Licensure to Optometrist

License/Registration Role: Statement of Licensure

Related Party Role: Optometrist

Name: TANG, MAI NGOC

License/Registration Type: Optometrist

License Number: 10595 Primary Status: Current

Address :
1893 MALVERN AVENUE
FULLERTON CA 92832
ORANGE COUNTY

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